NPI | 1619248572 |
---|---|
Former Name | LAURA R WINTERBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004020) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23799) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2021-01-29 |